About this trial
Pip Care is developing a personalized, interactive surgical journey platform with a live health coach that works directly with health systems to optimize the perioperative care process. Our Health Insurance Portability and Accountability Act (HIPAA)-compliant platform, Pip, can be integrated into any electronic medical record (EMR), thus alleviating the administrative burden by making operational workflows more efficient. The PIP empowers patients and their families to be more involved in their care by breaking down a patient's healthcare plan into definable, easy-to-understand, and easy-to-complete tasks. Additionally, a health coach completes a health intake to create a personalized perioperative care plan, meets regularly with the patient to encourage goal accomplishment, and facilitates care coordination. This project has 2 phases; Phase I is to assess usability of the Pip Care platform in surgical patients, Phase II is a RCT (Randomized Controlled Trial) to assess surgical clinical outcomes while using Pip compared to standard of care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patient ≥18 years old
Planned elective, inpatient surgery between 2 to 24 weeks following enrollment in Pip within the following surgical specialties: complex abdominal surgery (general surgery, colorectal surgery, surgical oncology), gynecologic oncology, thoracic surgery, spine surgery, and orthopedic joint surgery
Daily access to a smartphone or tablet.
Disqualifiers
Unable to speak English
Unable to use a smartphone or tablet independently or with daily assistance.
Currently pregnant (assessed via standard-of-care pre-operative workup)
Trial design
Parallel
Treatments tested in this trial
Pip Care Digital Health Platform
Other interventionPip Care Digital Health Platform is a smartphone application granting access to a health coach who will assist the patient in completing a health intake, creating personalized perioperative care plans, and meets regularly with the patient to encourage goal accomplishments and supports healthy surgical recovery.
Standard of Care Protocol
Other interventionSubjects in this intervention group will receive routine, standard of care throughout their surgery and hospital stay as determined by their acting clinical care team.
Treatment groups
Trial outcomes
Primary outcomes
Length of Hospital Stay
The total length of hospital stay (# of days) compared between study groups. Outcome will be reported as mean(SD).
Secondary outcomes
Emergency Room Visits Post-Operatively
This outcome will be measured by % of participants per group who have visited the emergency room following hospital discharge in their 30-day study participation.
Discharge to Long-term Care Facility
This outcome will be measured by % of participants per group who have been discharged to a long-term care facility following hospital discharge in their 30-day study participation.
Hospital Readmission
This outcome will be measured by the count of participants who experience hospital readmission following surgery in each study group.
Complication Rates
This outcome will be measured by the count of participants per group who have experienced any surgery-related complications during their 30-day study participation. Complication experiences will be tracked by yes - subject has experienced one or more complications, or no - subject has not experienced any complications.
Sponsors and contacts
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University of Pittsburgh
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator